Perioperative medicine & outcomes
Perioperative Stroke Following Implantation of Left Ventricular Assist Device: A Retrospective Cohort Study
Authors' conclusion
LVAD patients carry a high risk of perioperative stroke. They experience delayed recognition and diagnosis, limited intervention, and poor outcomes.
Study context
- Population
- Adults receiving an left ventricular assist device (LVAD) at St. Paul's Hospital, Vancouver, Canada, January 1, 2008–August 31, 2021, excluding intraoperative deaths and concurrent cardiac surgeryincluded and analysed
- Participants
- 172 adults
- Outcome
- Perioperative stroke
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Rate of perioperative stroke
12.8%
22/172
Observational data: associations, not effects.
Further findings
Outcomes after perioperative stroke
- Significantly lower cumulative incidence of survival to cardiac transplantation with perioperative stroke
- Significantly higher cumulative incidence of dying with device in situ with perioperative stroke
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Perioperative Stroke Following Implantation of Left Ventricular Assist Device: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 26 November 2024. doi:10. 1053/ j. jvca. 2024. 11. 025
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